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Center for Connected Health Policy • 916.285.1857 connectedhealthca.org • telehealthpolicy.us
Alliance for Health Reform BriefingThe Healthcare Workforce: Prescription for the Future
March 22, 2013
Telehealth Solutions: A State Perspective
Center for Connected Health Policy• CREATED WITH FUNDS FROM THE
CALIFORNIA HEALTHCARE FOUNDATION IN 2009
• CONDUCTS RESEARCH & ANALYSIS OF TELEHEALTH POLICIES & PRACTICES
• PROVIDES ADVICE AND GUIDANCE ON POLICY, REGULATORY AND LEGAL ISSUES
Established in 2006, funded by the Office for the Advancement of Telehealth
Twelve regional centers One national technology
assessment center Collectively form a network of
telehealth program expertise and experience
Independently serve a designated region
TelehealthResourceCenter.org
One National Policy Resource Center ‐ CCHP
What is Telehealth?
Telehealth is the use of telecommunications, health information, and videoconferencing technologies to deliver medical care, health education and public health services.
Specialty Care Access Initiative 2009-2012
Staffing Considerations
Administration - leadership and stability Clinical - clinician champion to promote
integration and buy-in & redefining roles Technical - technical and user support Coordinator - runs the program
50 States/ DC
Telehealth/TelemedicineState Laws &RegulationsState Medicaid provider manuals
50 State Report
Report released February 2013Updates on websitePDF updated quarterly
Conclusions
State Policies
No uniform policies across states:
NOT READY FOR ACA
States should explore telehealth policy
w/contiguous states
Telehealth UtilizationTelehealth not being utilized to fullest potential
States should promote policies that
incentivize use of the technology
Impact on Others
Federal policies influence states’
policies
Federal agencies should expand policies & encourage states to
do the same
The Patient Centered Medical Home
Value-based Care Integrated Services Different W.F. Mix Desired
Outcomes
Practice Organization
Quality Measures
HeathInformation Technology
PatientExperience
Patient-centered | Physician-directed
Project Echo Force multiplier using community clinicians to
provide specialty care Now being used in many specialties (Cardiology,
HIV, Chronic pain, Pulmonary, Rheumotology) Standardizing quality Rapidly spreading across the country
National Policy Reform Ideas Medicare All services will be covered to the same extent whether
provided in person or “via a telehealth” Removal of language detailing what qualifies as a
“telehealth service” (current law specifically limits it to professional consultations, office visits, etc.)
Eliminate limitations on Store and Forward Remove the HPSA and MSA “rural” limitation on
location Medicaid CHIP program – Services covered under
Medicaid in a State Plan will be covered to the same extent whether provided in person or “via telehealth
Coming April 1….
A one stop shop for accurate and up-to-date information on telehealth policy, legal issues and Health Information Technology
Includes an interactive “Policy Map” that will reveal telehealth laws, regulation, state Medicaid policy and pending legislation for all 50 states and D.C.
www.telehealthpolicy.us
